Provider Demographics
NPI:1477661551
Name:SANCTUARY SURGICAL CENTRE INC
Entity Type:Organization
Organization Name:SANCTUARY SURGICAL CENTRE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANDAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-912-9888
Mailing Address - Street 1:5503 NORTH FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487
Mailing Address - Country:US
Mailing Address - Phone:561-912-9888
Mailing Address - Fax:561-912-0943
Practice Address - Street 1:5503 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-4043
Practice Address - Country:US
Practice Address - Phone:561-912-9888
Practice Address - Fax:561-912-0943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1098261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical